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This week The FIFA inspection committee responsible for producing the report on all the possible host countries for the 2018 and 2022 World Cups visits England. The committee will be touring London, Manchester, Sunderland and Newcastle, inspecting stadia, looking at infrastructure, and getting charmed by David Beckham, Fabio Capello and Bobby Charlton.
Many English fans consider themselves a lock for hosting 2018 World Cup. In their view, there is no European nation that can match their stadia, infrastructure, or passion for the game. England is the birth place for soccer, and has not hosted its greatest tournament, since 1966. For English fans, it is time for the cup to return home.
However, all history and nostalgia aside, there are some very practical forces that are endangering England's bid. England's main competition for 2018 hosting responsibilities is Russia, and there are several critical reasons for FIFA to find a Russian World Cup more attractive.
England has stadia, but they are old and small
England brags that it already has all the infrastructure it needs and would not have to build a single new stadium for World Cup 2018. However, what England sees as an asset, FIFA may look at as a detriment. England does have plenty of venues for the World Cup, but only three of them, Wembley, Old Trafford and Emirates, seat more than 60,000. In fact, for the top 10 stadia in England, six of them seat fewer than 50,000. For the 2010 World Cup in South Africa, the host country used 10 stadia that had a total seating capacity of 548,000. The top 10 stadia in England would have a capacity of 25,000 fewer seats.
Apart from the seating capacity, almost as critical to FIFA is the nature of those stadia. Included in that list are some grand dames like Anfield, Goodison Park, Villa Park and Stamford Bridge. While these structures may overflow with memories and lore, what they are not packed with is luxury boxes, corporate entertainment facilities and the amenities that FIFA needs to wine and dine their critical commercial sponsors. FIFA has three sources of income during a World Cup – ticket sales, corporate sponsorship, and licensing fees (both for merchandise and broadcast rights). The facilities in England will limit their potential ticket sales and make the care and feeding of their sponsors (who have, after all, forked over billions of dollars for the privilege) far more challenging.
Russia, on the other hand, would have to build most of its stadia from scratch. While this may look like a detriment to some, to FIFA that is actually a positive. Having just come from South Africa, where the majority of its venues were newly constructed and built with all the modern sporting amenities in place, the entire situation was close to ideal. If lowly South Africa can pull off that trick, there is little doubt that Russia can too. In the last decade, Russia has been on an airport and hotel building spree, and if there is any skill the Russians have, it is in the building of large (and occasionally ponderous) urban infrastructure. If Russia can convince FIFA that they have the commitment to build the venues necessary for World Cup 2018, England's existing stadia could actually hinder their bid.
FIFA prioritizes emerging soccer markets over existing ones
England will undoubtedly tout its unreserved fanaticism for the game while Russia is still a country that cares more about hockey and gymnastics. However, like the stadia issue, this may be a positive for FIFA. FIFA has an evangelical streak about them, and likes to proselytize about the beautiful game to the uninitiated. They like to use every other World Cup to break into new markets, expand the passion for game, and convert more followers into the church of football. USA 1994, Korea/Japan 2002, and South Africa 2010 represent their latest efforts in this crusade. With the 2014 Cup being held in Brazil, FIFA may look at 2018 as another missionary opportunity.
And Russia is a real growth opportunity. This emerging market with millions of potential soccer aficionados is exactly the kind of growth opportunity that makes FIFA salivate. Russia has money and population, and FIFA feels like they are not getting their fair share of either. Putting a World Cup in Russia may be exactly battering ram that breaks down the door for a significant new revenue stream for FIFA.
Conversely, from a business perspective, FIFA may look at England as a saturated market place with little opportunity for growth. For the green eye-shades at FIFA, bringing the World Cup to Newcastle would be like bringing coal to, well, Newcastle.
Those passionate English fans are a tad bit scary
During the 2006 World Cup in Germany, the security precautions put into place to control the English fans were extraordinary. Many English fans have a very unsavory reputation, and long list were drawn up of supporters who were prohibited from travelling to Germany for the games. For the first time (at least since 1945 or so), English security forces were allowed into Germany to help maintain order. And yet, there were plenty of incidents and acts of violence as a few bad apples reflected poorly on a nation of civil football supporters.
For a World Cup stationed in England, no bad apples will be prohibited or controlled. You cannot keep an Englishman , no matter his reputation, from getting on train to an English stadium or from approaching a pub where a French or Italian or German fans have gathered or from doing anything violent until they have actually done it and broken the law. While England thug culture has certainly dissipated from its Thatcherite heyday, nobody would argue that it has gone away. If the authorities had such a difficult time controlling the English fans in Berlin, how are they going to control them in London, Manchester or Liverpool? This is an issue that weighs heavily on FIFA's mind.
Comparatively, for better or worse, Russia does have some history and some skill in the arts of maintaining civil order.
How all of these issues resonate with FIFA will not be known until December 2, when FIFA announces who will host the 2018 and 2022 World Cups. However, shorting England's overinflated odds of being declared a host might be a good bet.
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Why You Shouldn't Run From Cops: Guy Busted With Drugs "I Aint Got Crack. Man You Put That On Me"
Some guy gets his nose broken
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2014 Liberty Flames Basketball Camp Web Page Liberty University head men's basketball coach Dale Layer and his staff will conduct three different camps this summer during the month June. All three camps will be held at the Vines Center on Liberty's campus. For more information check out the descriptions below and check out the camp web page above. Day Camp Both sessions of day camp will run for four days with every camper receiving a T-shirt. Liberty men's basketball players and staff will be present and put the campers through drills and skill work in addition to competitive games. The first camp will run June 9-12 with the session two running June 16-19. Full day and half day sessions are available. Click here for camp details. Elite Camp Open to rising high school sophomores through college freshman, Elite Camp is an intense two-day camp that will test your skills and work ethic through individual drills and workouts. Campers will stay in on-campus dorms, eat in the university's cafeteria and be treated to a day in the life of a Division I college athlete. Click here for camp details. Team Camp Featuring six guaranteed games, hardwood air conditioned courts and on-campus housing and dining, Liberty team camp has quickly risen as one of the most popular on the east coast. Selling out in 2012 and 2013, Liberty offers not only games but also chalk talk sessions and individual skill development for campers. All facilities are located right on campus. Dates are June 26-28 and the cost is $215 per player. Click here for camp details. If you have any questions, please call 434-582-2337 or email firstname.lastname@example.com.
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Posted in General Business 30+ days ago.
This job brought to you by eQuest
Type: Full-Time
Location: Hampton, Virginia
RTW Retailwinds, Inc. is a specialty women's omni-channel and digitally enabled retailer with a powerful multi-brand lifestyle platform providing curated lifestyle solutions that are versatile, on-trend, and stylish at a great value. The specialty retailer, first incorporated in 1918, has grown to now operate 410 retail and outlet locations in 35 states while also growing a substantial eCommerce business. The Company's portfolio includes branded merchandise from New York & Company, Fashion to Figure, Happy x Nature, Uncommon Sense, and collaborations with Eva Mendes, Gabrielle Union and Kate Hudson. Its branded merchandise is sold exclusively at its retail and outlet locations and online at www.nyandcompany.com, www.nyandcompanycloset.com, www.fashiontofigure.com, www.happyxnature.com, and www.uncommonsense.com. Additionally, certain product, press releases and SEC filing information concerning the Company are available at the Company's website: www.nyandcompany.com.
OVERVIEW: The SA participates in ensuring the service and selling environment within the store is fun and engaging for customers at all times. The SA performs a variety of responsibilities assigned by the Store Leadership team which may include driving sales, delivering outstanding customer service, merchandising, cashiering and processing freight.
- Drive sales results and achieve individual and store goals in line with Company initiatives
- Follow plans/directions/schedules and act with a sense of urgency to meet the changing priorities, store needs and demands of the business
- Effectively promote all brand initiatives, including credit, to achieve individual and store goals
- Support a store culture that is committed to exceeding customer expectations and delivering the highest level of customer service at all times
- Communicate customer feedback, best sellers, business trends and recommendations to Store Management
- Apply fashion knowledge to make product recommendations and style customers on the sales floor and in the fitting room
- Balance customers and tasks simultaneously using good judgment and teamwork
- Maintain merchandise standards to maximize sales within the store and escalate issues accordingly
- Support the visual presentation execution, including floorset and promotional updates
- Maintain the sales floor so that it is full, sized, organized and clean and the backroom is to brand standard
- Abide by all Company policies and procedures, including the New York & Company Code of Business Conduct and Loss Prevention policies
- Participate in initiatives to achieve store shrink goals
- Follow leadership direction to maintain proper floor coverage to meet business needs
- Maintain store safety standards and report store maintenance issues to Store Management as needed
- Perform transactions including ringing at the Sales & Services desk, processing shipment, etc.
- Must be 18 years of age or older
- 1 year of retail sales experience preferred
- Physical ability to be on the sales floor for extended periods of time, and to move and handle merchandise and fixtures throughout the store which may entail lifting, and perform all functions as set forth above
- Ability to work varied hours/days, including nights, weekends and holidays, based on business needs
- Fashionable, passionate, acts with integrity, driven, accountable and a team player
- High School Diploma or GED equivalent required
This position description intends to describe the general nature and level of work being performed by people assigned to this job. It is not intended to include all duties and responsibilities. The order in which duties and responsibilities are listed is not significant.
As an equal opportunity employer, RTW - Retailwinds does not discriminate in hiring or terms and conditions of employment because of an individual's race, color, gender, sexual orientation, genetic disorder, age, religion, disability, national origin, marital status, or any other characteristic protected by law. RTW - Retailwinds only hires individuals authorized for employment in the United States.
Prometric Inc. is an Equal Opportunity Employer M/F/Vets/Disability


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Our large Bergerii is a tall, sturdy tillandsia with lime green, pointed leaflets. Each leaf protrudes out from the main center growth point and with time they stack to create a very tall specimen. This species readily produces pups.
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It is an unsolved problem to decide if it is possible to "walk to infinity" from the origin with bounded-length steps, each touching a Gaussian prime as a stepping stone. The paper by Ellen Gethner, Stan Wagon, and Brian Wick, "A Stroll through the Gaussian Primes" (American Mathematical Monthly, 105: 327-337 (1998)) discusses this Gaussian moat problem and proves that steps of length $< \sqrt{26}$ are insufficient. Their result was improved to $\sqrt{36}$ in 2005.
My question is:
Is the analogous question easier for the prime spiral (a.k.a. Ulam spiral)—Can one walk to infinity using bounded-length steps touching only the spiral coordinates of primes?
What little I know of prime gaps suggest that should be easier to walk to infinity. For example, the first gap of 500 does not occur until about $10^{12}$ (more precisely, 499 and 303,371,455,241).
I ask this primarily out of curiosity, and have tagged it 'recreational.'
Edit1. In light of Gjergji's remarks below, I have tagged this as an open problem.
Just for fun, I computed which primes are reachable on a small portion of the spiral,
for step distances $d \le 3$ (left below) and $d \le 4$ (right below);
red=reached, blue=not reached.
The former does not reach 83, the 23rd prime blue dot barely discernable at spiral coordinates (5,-3);
the latter does not reach 5087, the 680th prime blue dot at
spiral coordinates (36,10).


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Emerging fashion trends
Promoting traditional garments and simultaneously developing functional wear, manufacturing green textiles and reducing use of toxic chemicals, besides recycling and setting up of online thrift stores, are some of the emerging trends in the fashion world, experts say.fashion-and-trends Updated: Feb 05, 2013 11:39 IST
Promoting traditional garments and simultaneously developing functional wear, manufacturing green textiles and reducing use of toxic chemicals, besides recycling and setting up of online thrift stores, are some of the emerging trends in the fashion world, experts say.
"India is viewed as a fashion destination mainly for its traditional garments. The indigenous designs and raw materials are very popular abroad and Indian fashion designers should focus on these," Gianfranco Olivotto of Domus Academy, Italy, told IANS.
Olivotto was in the city to take part in an international seminar on 'Fashion in Global Economy', jointly organised by the National Institute of Fashion Technology and the Confederation of Indian Industry.
On the contrary, Anil Buchasia of the Apparel Export Promotion Council feels Indian fashion gurus need to shift gear to functional clothing to integrate with the world.
"Why can't we think beyond the traditional dresses? Why can't we think in terms of functional garments? We have to integrate with the world," said Buchasia.
Seconding Buchasia, K. Rangarajan, a professor at the Indian Institute of Foreign Trade, Kolkata, said although intra-Asian trade rose by nearly 12 percent in the last year, India is facing stiff competition from Bangladesh's and Vietnam's fashion industry.
"In terms of low labour costs, Bangladesh is the competitor, whereas Vietnam gives India stiff competition because of its design superiority. It is time to move from traditional to non-traditional products," Rangarajan contended.
To keep pace with the rapid progress globally in an eco-friendly way, fashion designers must also factor in harmony with the environment and opt for "fashion with a cause".
"We must attempt to make textiles greener and safer for the environment. When organic cotton was introduced 15 to 20 years ago, it did not become very popular because of the price and because it was dyed using chemicals. So how much of organic cotton is really organic?" Arun Baid, founder-director of the Ahmedabad-based Aura Herbal Textiles, asked while talking to IANS.
To make textiles organic and thereby eco-friendly, Baid felt fashion designers must harness nature's bounty like herbs and other plants to extract dyes from them.
"We have to move to another level of technology and fashion to use natural resources. There are raw materials available in nature which Indians have used since ages. However, we have never explored those options for applying them to the textile industry on a large scale," Baid added.
On one end of the spectrum, while the fashion industry must turn to nature for answers, on the other it must make efforts to take the second-hand goods sector online.
"We have to start organising the second-hand goods sector to make it more palatable and affordable for the masses. Given the ability to recycle in an intelligent way, consumers are likely to generate vintage ideas rather than throw them away," said Deepsikha Chatterjee, lecturer in costume design and history at New York's Hunter College.
"Sites like ebay run on the model that one man's trash is another man's treasure. Similarly, we have to take the Indian second hand market online," added Chatterjee.
Besides the second-hand goods market, Chatterjee said artists can use the internet to directly showcase their work to the world.
Most importantly, Chatterjee felt that Indian designers should adapt handicrafts to everyday needs to sustain the sector. She said, "We have to be able to support our handicrafts by making our products better suited to everyday life rather than trying to preserve their museum-like quality and thereby provide a larger market for our art and crafts."


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The Broad Brush: Your News in 60 Seconds
The Broad Brush: Your News in 60 Seconds
Welcome to this week's edition of The Broad Brush. Here are your headlines.
A court ruling that struck down portions of a 2008 Alameda school parcel tax has prompted fresh lawsuits against four school districts that won voter approval of school parcel taxes in November. Earlier this month, lawsuits were filed against the San Leandro, West Contra Costa and Davis school districts and a group of suburban Los Angeles districts alleging the districts violated state law by imposing taxes that charge different types of property owners different rates.
A severe flu epidemic that has dogged much of the nation has taken hold of California in recent weeks, though local public health officials said they are well prepared to handle additional flu cases and they urged people to get flu shots if they have not done so already.
Alameda's City Council on Tuesday unanimously signed off on new park fees intended to foster more efficient use of Alameda's sports fields and better recovery of the costs of users' wear and tear on parks. Starting this fall, youth sports leagues will pay between $2 and $3 an hour for use of the city's fields, with credit for any maintenance they perform; they now pay $5 per player with a $500 minimum. The city will also introduce new hourly fees for adult sports leagues with separate, flat fees for kickball leagues and a fee for the use of inflatable jumpers in parks.
The third time proved to be the charm for Tracy Jensen, who was appointed Wednesday to an open seat on the Alameda Health Care District Board. Jensen bested three other applicants for the seat, which Stewart Chen vacated after earning a two-year term on the City Council. Her new dais-mates voted 4-0 to select her to complete Chen's hospital board term after ranking the candidates.
Camera flashes were popping in Alameda Police Chief Mike Noonan's office, which was packed Wednesday afternoon with more than a dozen giddy teens and their adult chaperones. The group is visiting from Wuxi, China – one of Alameda's sister cities – and their six-day Bay Area visit will include stops around Alameda and San Francisco and to at least one major university.
And the City Council will soon be hearing from tenants who are struggling with big rent increases at two Alameda properties. The increases forced one elderly couple to move out of their longtime home and have led a member of the city's rent committee to question whether they might prompt efforts to seek formal rent control.
News in brief(er): Alameda Hospital added extra security after a contract employee who had been fired called and said he had bought a handgun and threatened to kill himself and other hospital employees. Police arrested the 49-year-old Oakland man, who they are not naming because their investigation is continuing, on January 23 … the Alameda Education Association has dropped its request that the state declare an impasse in contract negotiations and is scheduled to return to the bargaining table today … An Alameda gas station is one of 780 owned by BP and its subsidiaries being sued by California Attorney General Kamala Harris … And Bobby Sharp, songwriter who penned "Unchain My Heart," has died. A memorial will be held on March 10 at Rhythmix.


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Prisoners participating in Bard College initiative to provide them a liberal arts education beat Ivy League students who won national title only months ago
From The Guardian/ By Lauren Gambino
Months after winning a national title, Harvard's debate team has fallen to a group of New York prison inmates.
The showdown took place at the Eastern correctional facility in New York, a maximum-security prison where convicts can take courses taught by faculty from nearby Bard College, and where inmates have formed a popular debate club. Last month they invited the Ivy League undergraduates and this year's national debate champions over for a friendly competition.
A three-judge panel concluded that the Bard team had raised strong arguments that the Harvard team had failed to consider and declared the team of inmates victorious.
"Debate helps students master arguments that they don't necessarily agree with," Max Kenner, the founder and executive director of the Bard prison initiative, told the Guardian. "It also pushes people to learn to be not just better litigators but to become more empathetic people, and that's what really speaks to us as an institution about the debate union."
The inmates were asked to argue that public schools should be allowed to deny enrollment to undocumented students, a position the team opposed.
One of the judges, Mary Nugent, told the Wall Street Journal that the Bard team effectively made the case that the schools which serve undocumented children often underperformed. The debaters proposed that if these so-called dropout factories refuse to enroll the children, then nonprofits and wealthier schools might intercede, offering the students better educations. She told the paper that Harvard's debaters did not respond to all aspects of the argument.
The Harvard team directed requests for comment to a post on its Facebook page that commended the prison team for its achievements and complimented the work done by the Bard initiative.
"There are few teams we are prouder of having lost a debate to than the phenomenally intelligent and articulate team we faced this weekend, and we are incredibly thankful to Bard and the Eastern New York Correctional Facility for the work they do and for organizing this event," the debate team wrote days after their loss.


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It has been one year since the original group of protesters showed up in lower Manhattan to speak out against economic inequality. NBC's Brian Williams reports.
NEW YORK, Updated at 8:35 p.m. ET -- Looking to reignite their movement on its one-year anniversary, several hundred Occupy Wall Street activists protested in lower Manhattan Monday, staging a sit-in near the iconic New York Stock Exchange and swarming through the streets in costumes and toting American flags and signs.
Police said more than 180 protesters were arrested, mostly for disorderly conduct. Earlier Monday, protester Michael Aaron said some religious leaders and dozens of others were arrested after sitting down in the street and on the sidewalk, blocking the thoroughfares.
"We're just at year one. We have a really big mountain to climb. But we're hoping to get the power back to the people," said Kim Fraczek, 37, who wore an Obama mask. She was with a man, Erik McGregor, 44, who had on a Romney one. They said they were aiming to show the two were controlled by money.
"In our bipartisan system, when the two candidates for presidency are doing everything to kneel down to the corporations and banks and turn against the people, it doesn't matter who you vote for, because the war machine will continue," said Fraczek, a handbag and jewelry designer.
John Makely / NBC News
An arrest on Wall Street as Occupy protesters circulate through the financial district trying to disrupt business on Sept. 17.
The early morning protests and marches were marked by festive cheer, with demonstrators throwing confetti and glitter, carrying balloons and singing "happy birthday." But some protesters also reflected a more somber tone on the anniversary of the day when they set up a nearly two-month camp in nearby Zuccotti Park to protest against income inequality, corporate greed and money in politics.
"It's kind of a day of reflection, a day of celebration, a day that reflects some collective muscle and show of force. And I also think to remind not just ourselves but the world ... that things haven't really gotten better in the last year. In many ways they have gotten worse," said Ian Williams, 27, a graduate student at New York's Hunter College in social work. "And the project we're sort of embarking upon is a long term one."
Protestors gather around the New York Stock Exchange on the one year anniversary of Occupy Wall Street. WNBC's Lori Bordonaro reports.
At some points, protesters blocked traffic and there were a few skirmishes with police that NBC News staff witnessed.
Many protesters wore costumes, such as a group who marched into a Bank of America dressed as polar bears and then formed a meditation circle with others in front of the bank. One of the protesters held a sign that read, "Wall Street: The Business of Extinction."
Another group, clad in black, carried cardboard headstones painted white, with some reading, "RIP" or "Here lies." A woman leading the group had a sign that asked, "What is the cost?"
"The one percent is dictating to the rest of us how we can live our lives," Wes Nickerson, a 59-year-old home health helper from Cambridge, Mass., said as protesters streamed by singing The Beatles' lyrics, "you say it's your birthday."
Hundreds of protesters march in Manhattan's financial district on the one year anniversary of the birth of the "Occupy Wall Street" movement. CNBC's Kayla Tausche and John Carney report.
"I had to come here today because the issues are pressing," he said.
Ahead of the protest, Linda Brown, a retired teacher from Brooklyn, gathered with about 100 activists blocks from the NYSE preparing to join the larger sit-down.
"I think what we have learned a lot in the last couple of years is that the financial crisis wasn't just an act of God ... it was brought about by a whole lot of criminality," said Brown, 66, who has been participating in Occupy since last October.
"This is our democracy, it's really at risk," she added. "We're petitioning for redress of our grievances."
Though Occupy Wall Street galvanized thousands of people across the country last year to protest against the abuses of what they called the "one percent," their numbers have dwindled amid internal squabbling, questions over leadership and financial transparency, and what critics called a lack of direction and goals.
John Makely / NBC News
Occupy Wall Street protesters circulate throughout the financial district trying to disrupt business Monday.
But they're hoping Monday will help put more focus onto their original concerns: corporate greed, income inequality and money in politics.
"Why are we going back to Wall Street? Because the one percent wants it all and they're not giving anything up without a struggle. Economic conditions are roughly as bad as they were a year ago and for many, many people they're precarious," said Bill Dobbs, of the Occupy Wall Street public relations team.
What happened to Occupy Wall Street?
PhotoBlog: Photos of the arrests
Monday's demonstration will culminate three days of teach-ins, marches, a town square and other events in New York leading up to the anniversary.
'Battle for the soul of Occupy': Activists fear becoming Democratic 'pet'
'Tea and Occupy' -- a discussion/debate between members of the two movements
Occupy Congress: Could it be politics as unusual?
To demand or not to demand? That is the 'Occupy' question
Chicago braces for major protests as NATO summit looms
Old guard back in the trenches at 'Occupy' protests


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Cook County Commissioner William Beavers was convicted of tax evasion today but says he will fight, claiming the judge was unfair and the charges trumped up.
It took a jury less than an hour or two to convict him on all counts.
Records show the 78-year-old outspoken Democrat spent 18 days at casinos in some months. And between 2006 and 2008 he was taking money from his campaign funds and using it for personal expenses or to gamble. Beavers's lawyers told the jury he intended to pay it back.
Prosecutors didn't believe him and neither did the jury.
In court, Beavers's attorney said the defendant had a problem with gambling but he's no criminal.
Beavers opted not to testify and said the judge never would have let him tell his story, the one where federal agents wanted him to wear a wiretap to catch fellow commissioner John Daley. When he refused, he claims, they went after him.
Beavers now faces three years and $250,000 fine. He says he wont resign unless he is forced to.
No sentencing date has been set.


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IT Trends | Feature
As massive Miami-Dade seeks to serve up a better digital experience to all of its students, getting WiFi right is a crucial part of the work.
Miami-Dade County Public Schools — the fourth-largest district in the country — is working through its ABCDs as it pursues a voluminous infusion of technology into learning. That's how Superintendent Alberto Carvalho described the digital convergence taking place in the district he oversees. That's also roughly the order in which each phase of the plan is unfolding.
As CIO Debbie Karcher explained, the "A" stands for applications and content that can be accessed at any time on any machine. "B" is for broadband that would deliver a good access experience at every school. "C" — for connectivity — called for a massive implementation of wireless in all of the schools.
"Every school, every square foot of our district has wireless in every room," she said.
Now that those components are in place, the district is ready to start talking about devices, the "D" part of the initiative. By October 2014 every school in the district will be what Karcher calls "BYOD-ready." That means students and staff will be able to bring their own devices and hop on the network and use it for whatever reason. As the district is adding a sizable BYOD program, it's also deploying 15,000 tablets to seventh grade civics students and ninth grade history students, as well as computers into elementary schools.
Last year, in the midst of some highly publicized missteps with 1-to-1 deployments at other large school districts, Miami-Dade pulled back on the reins of its program. Karcher said that decision was primarily done to address device security and safety issues. That delay is over, and the program is back on track — in a big way.
Here, the team responsible for laying out a wireless network capable of supporting 345,000 students and 40,000 staff in 392 schools shares its approach for success.
Lay the Infrastructure on Thick
Two years ago, noted Douglas Galbraith, supervisor of infrastructure and system support, the district's Internet capacity was 1 Gbps. Last year that data center core capacity doubled, and then doubled again. The increase to 4 Gbps required an upgrade of routers and switches. At the same time IT increased the pipes in its wide area network to deliver 100 Gbps capacity to each school. Within each school there's 10 Gbps capacity.
On top of that IT has overlaid the district wireless network, consisting of more than 20,000 access points. Two years ago that count was 2,400. Although the district has pondered the advantages of 802.11ac or 11ad, it's "still firmly entrenched in b, g and n," said Galbraith.
In the last year the district has installed 16,000 AP433s from Meru Networks. Those network devices have been deployed, said Karcher, "without adding one single support person." Why Meru? The main reason, she explained, is because Meru's E(z)RF Network Manager allows IT to do wireless network management from end to end, including managing the access points from a central location. "When we get a support ticket, in many cases, it might just be a reset of the device. We can do that remotely. It doesn't require a visit to the access point."
Added Javier "Jerry" Perez, the executive director of infrastructure and system support, wireless grew in a pattern. It started with the addition of "hotspots" at each school in common areas: the auditorium, cafeteria, media center and administrative office. "From there we grew it out. When it's all said and done, there will be one access point per 30 users."
Performance has been quite respectable. For example, 49 middle schools have implemented an online district math program called iPrep Math, in which students use wireless laptops to do their work. In many of those locations, two to three classrooms have been joined and refreshed to accommodate up to 60 students at a time. "We've seen no issues whatsoever," Perez said. When a particular space has a higher density, he noted, "we just add another access point. Being a single-channel deployment, [Meru] makes it very easy to do that."
Share the Wealth but Control the Access
Most schools close after four p.m. in Miami-Dade. However, they see see no reason to be stingy with their wireless. They hope to share bandwidth not just for school purposes but with students' families and the larger community. The idea is to allow people to get online with their own devices simply by being in the vicinity — akin to a public library outfitted with WiFi.
However, that doesn't mean there won't be controls in place. First, the district will monitor for online gaming, the use of NetFlix streaming or other activities the district deems "non-educational" and regulate "abuse." Second, the district has implemented PacketLogic from Procera Networks to manage traffic and monitor network quality. For example, from the data center IT can manage streaming capabilities by grade limits, schools or other district- or school-wide classifications.
The goal: to make the online experience "equal for everybody," said Karcher, or to "leave it wide open when I can. It's based on how my bandwidth looks at the moment." Simultaneously, there's a hierarchy of importance. Traffic will be prioritized based on who the user is and what time of day he or she is getting online. A student taking a test will have the highest priority. A student doing anything else will have a higher priority than a parent, who will have a higher priority than somebody who's taking advantage of some free surfing time.
Sorting that out will be the job of Meru Identity Manager, expected to be in place later this year. "What happens in August will make it seem like it's one big wireless umbrella. No matter where I am in the district, it knows who I am," Karcher explained. "The wireless network will automatically connect me if I'm on school district property and I have the proper ID." She added that the onboarding process only has to be done once for any device. "The idea is that we've chosen to extend that to our parents and community members. We know who they are; they'll have accounts."
But for now, the district is in experimentation mode with its new, capacious WiFi. "We're trying to put as few controls as possible on it right now because we're trying to understand those patterns — [knowing] that we will have to lock it down at some point," said Paul Smith, executive director of data security and technical services.
Of course, the endeavor hasn't been completely problem-free. One surprise surfaced last year on the Friday before school started, when schools posted students' class schedules. "They desperately need to know who's in their class, who's their teacher. It's an end-of-world experience if they don't know that," Karcher attested, tongue in cheek. The district informed students that schedules wouldn't be posted until 7 that night; but by 1 p.m. students had already started checking. The result? A session storm. When students didn't get a response, they'd do what we all do — resend the request, even while the previous sessions were still trying to get access to the data.
"They actually shut us down," Karcher admitted. We knew about that behavior, but we didn't realize how many students would use their mobile devices to access their schedules. We're aware of that happening now and have made changes in our infrastructure to handle this in the future."
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One of the most popular extensions for Firefox is Flashblock, which prevents flash and shockwave files from being automatically loaded. There have been quite a few ways to achieve the same in Opera, however all of them required some effort on the user's behalf. The good news is that with Opera 11, this feature is now baked right into the browser.
Related: How To Install Opera in Portable Mode
To block flash and other plugin driven content (other embedded video files, Silverlight files etc.), simply open up Opera's "Preferences" dialogue box (Alt+P), and browse to the "Content" tab. From here, check the "Enable plug-ins only on demand" box.
Once this option is enabled, Opera will stop loading plug-in driven content automatically. However, you can still load/play the flash videos you want by clicking on the play button (see the screenshot).


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I heard about this regional pack of Tirol on the Tirol Facebook page and a friend in Tokyo was kind enough to track it down and send some to me.
This Tirol is based around a Japanese sweet or "wagashi" called Ikinari Dango - a steamed bun with chunks of sweet potato in the dough, with anko (red bean) in the centre, a local specialty of Kumamoto.
The black bear featured on the wrapper is the mascot for Kumamoto and his name is Kumamon. "Kuma" is Japanese for bear.
I'm happy to be able to try both types of this Tirol. So lets start.
Satsuma-imo (Orange)
The chocolate on the outside is orangey-yellow and when I put it to my nose there is a strong smell of sweetness and something earthy. In the middle there are two layers, on the bottom is a dark yellow jelly and on the top is a red-brown paste. I'm certain the jelly is representing the sweet potato and the paste is the red bean component. I can really taste the red bean in this chocolate and it's very accurate in flavour and quite sweet. Unfortunately it kind of overruns the sweet potato which is a bit too subtle. The last flavour I can taste after eating is still the red bean.
Murasaki-imo (Purple)
This is quite pretty because it's a lavender coloured chocolate covering a white inside. There is only one layer inside this chocolate, a yellow jelly surrounded by a white chocolate which I think is meant to be the sweet potato. This has a much stronger flavour and the sweet potato is more apparent. There is no red bean to drown it out, so the flavour is loud and clear. There is some earthiness to this chocolate and I think some people might be put off by it. I really like it though.
I did like both of these chocolates even though the Satsuma-imo was not as strong on the sweet potato as I expected. I'm a big fan of red bean so I did enjoy this one a lot. The Murasaki-imo was bigger on the sweet potato with the exclusion of the red bean.
I've never actually tried Ikinari Dango but I can say after having these two Tirol I really want to try the real thing! Maybe I need to take a trip to Kumamoto! ;)
I would have to say I liked the Satsuma-imo the best, simply because I like the red bean. If you get a chance to try this I would very much recommend it. The colours and inside layers remind me very much of eating Japanese sweets so even if you're not usually a fan of these flavours I recommend them just for the experience and nostalgia :)


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Catholic Ethicists Question Choice Of IVF Inventor for Nobel Prize
Catholic and pro-life bioethicists questioned the choice of this year's Nobel laureate in medicine: the inventor of in vitro fertilization.
WASHINGTON — Four million people are alive today thanks to the groundbreaking technique that Robert Edwards developed.
And yet, untold numbers of embryos have perished and hundreds of thousands languish in cryopreservation because of it.
It was announced Oct. 4 that Edwards, a British biologist and clinician, would receive the Nobel Prize for Medicine for his development of in vitro fertilization, with his physician colleague Patrick Steptoe.
Louise Brown — the world's first "test-tube baby," born in 1978 — publicly applauded Edwards' achievement. But Catholic bioethicists and some researchers and clinicians challenged the Nobel Prize Committee's decision to honor Edwards, noting that his innovation resulted in the destruction of millions of human embryos and ushered in a "brave new world" of anonymous sperm donors and "surrogate mothers."
While the prize recognizes Edwards' contribution to the science of human reproduction, it ignores the ethical consequences of his opening "the wrong door" in the fight against infertility, said the president of the Pontifical Academy for Life.
Msgr. Ignacio Carrasco de Paula said he recognized that Edwards "ushered in a new and important chapter in the field of human reproduction in which the best results are visible to everyone, beginning with Louise Brown."
However, "without Edwards there wouldn't be a market for oocytes (immature egg cells), without Edwards there wouldn't be freezers full of embryos waiting to be transferred in utero or, more likely, to be used for research or to die abandoned and forgotten by everyone," the monsignor said in a written statement released by the Vatican Press Office Oct. 4.
The written statement came after Msgr. Carrasco's comments to the Italian news agency ANSA that the Nobel committee's selection of Edwards was "completely out of place."
Many commentators suggested that early ethical concerns regarding IVF centered on whether laboratory fertilization could produce healthy babies, which has largely been resolved. But critics argue that IVF raises a host of issues — moral, medical, cultural and financial — that still haven't received adequate public scrutiny.
Elizabeth Marquardt, a social researcher and author based at the Institute for American Values, notes that news stories about IVF often focus on the fulfillment of parental dreams, while ignoring a host of inconvenient truths, including websites established by adult children yearning to meet sperm-donor fathers and half siblings.
"Today, those who continue to focus only on the point of view of parents, would-be parents and fertility industry professionals are making a choice to frame IVF and reproductive technologies as an issue of adult rights without regard for the needs of offspring (as children, and when they grow up)," said Marquardt.
Need for Regulation
Edwards' scientific interests are not limited to reproduction. In a 2001 article in Nature, Edwards noted his early delight at the possibilities opened by the regenerative properties of embryonic stem cells. Decades ago, he reported, he encouraged colleagues at Cambridge University to pursue research with embryonic tissue.
More recently, after President George W. Bush placed limits on federal funding of embryonic stem-cell research, Edwards suggested that many political leaders in the U.S. and the U.K. had adopted a morally inconsistent stance — given the rapidly expanding field of reproductive technologies that drew little public attention from policymakers.
"Stem-cell ethics are minor when compared with the issues raised by gamete donation, surrogate pregnancy, embryo cryopreservation, research on early human embryos, pre-implantation genetic diagnosis and adult cloning," wrote Edwards.
Yet, Edwards' defensive posture acknowledged that even as the majority of scientists in his field appeared to have set aside ethical reservations, innovations in reproductive technologies continue to stir public unease.
At present, the public debate centers on lethal stem-cell research and the specter of human cloning — not IVF, which is largely unregulated in the United States.
"It is long past time there was limiting regulation in this field. It was unregulated IVF that led to the creation of hundreds of thousands of 'excess' human embryos in cryogenic storage in IVF clinics," said William Saunders, senior vice president at Americans United for Life. "This tempted scientific entrepreneurs to try to find ways to 'use this resource.' This led, in turn, to the tragedy of human embryonic stem-cell research and the possible future specter of the mass production of human beings in the lab, through cloning, for the purpose of being destroyed for research."
Dr. Thomas Hilgers, director of the Omaha-based Pope Paul VI Institute for the Study of Human Reproduction and developer of pro-life NaPro Technology, believes it is past time for physicians dealing with infertility to re-evaluate their tendency to promote IVF. Instead, he argues, they should treat the medical conditions that lead to infertility.
"IVF is a technology that destroys life to create life. It does not look for or address the underlying causes of infertility. On both counts, it's the wrong approach and a lot of people have suffered as a result," said Hilgers, an obstetrician, gynecologist and specialist in reproductive medicine and surgery.
More than three decades after Louise Brown's birth on the 10th anniversary of Humanae Vitae, notes Hilgers, IVF procedures have yet to exceed a 30% success rate for achieving pregnancy.
Still, women are encouraged to pay tens of thousands of dollars for several cycles of treatment and undergo invasive medical procedures.
Primary Opponent
Media reports of Edwards' Nobel Prize noted that the Catholic Church remains the primary opponent to IVF and other forms of assisted fertility treatments that create human life outside the marital act.
However, Michael Hanby, assistant professor of biotechnology and culture at the John Paul II Institute for Studies on Marriage and Family at The Catholic University of America, notes that the Church's repudiation of IVF is not solely concerned with the death-dealing that often accompanies a procedure that routinely discards genetically defective embryos and freezes "spare" embryos.
Catholic sexual ethics arises from the Church's understanding of who and what the human person is, a body-soul unity called to make a total self-gift in love, said Hanby.
"When the Church states that fertility treatment must respect the three fundamental goods of the right to life from conception, the integrity of marriage, and the unity between the conjugal act and its fruitfulness, it is this vision of the human person that underlies and unites these goods," Hanby noted. "And it is our humanity that is ultimately put in jeopardy by IVF and associated technologies."
By separating procreation from the conjugal act, Hanby concluded, "IVF divides and reduces the person; love becomes a mere affection or sentiment and the body a mere mechanism subordinate to the designs of the will. And the child conceived via IVF is necessarily treated from the very first not as a child — not as a person and gift with an inviolable being all his own — but as matter to be selected and worked upon."
Joan Frawley Desmond writes from Chevy Chase, Maryland.
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- October 24-November 6, 2010


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This unforgettable thriller pits a war photographer/veteran against a ruthless leader of a world-wide terrorist organization.This brutal cat and mouse thriller starts in Ireland and through other parts Europe and ends in a bloody battle between our hero and hangman's fanatic terrorist army.O'reilly does his research well in depicting frightening world of international terrorism and the brave men and women who combat it.The hangman is one of the most ...
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Our Hero Fitzduane thought his war with terrorism ended with the defeat of the hangman but in the world of international terrorism nothing is forgotten! He and his family are targeted for death by the hangman's sadistic lover,a female japanese terrorist Fitzduane must take the battle to her on her own turf which is Japan. This novel gives us scenic and very bloody tour of Japan as our hero battle terrorists, yakuza(japanese gangsters) and lethal bet...


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SAP Business Consultant Technology & Integration
- Bedrijf: Koninklijke BAM Groep
- Standplaats: Bunnik
- Vakgebied: ICT / IM
- Opleidingsniveau: HBO
Do you know the latest SAP technologies like no other and do you know how to apply them pragmatically within a complex environment? Do you like to work in a continuously changing organization, which is at the beginning of a digital transformation? Then we advise you to read on!
Wat ga je doen?
Digital technologies are rapidly transforming the construction world and BAM. BAM wants to set the tone in the digital transition in the construction world; 'Doing new things' is a motto from our strategic agenda. A professional and international ICT organization is crucial to achieve this. As a result of this and the strategic objective OneBam!, BAM ICT creates BAM wide architectures and implements BAM wide ICT solutions and functionalities.
For this reason, BAM ICT provides the complete BAM organization of modern ICT services, from an increasingly broader corporate perspective. The need has arisen to hire for our SAP team a SAP Business Consultant Technology & Integration.
As a SAP Consultant you work on innovative projects and apply the latest SAP technologies in a complex environment. You are responsible for both the direction and realization during the duration of projects and maintenance releases within our very extensive SAP system landscape.
You are the point of contact for the SAP users, functional managers and business consultants and architects and solve technical problems in cooperation with suppliers. You will also identify the technical requirements and needs of the business and act as a discussion partner. As a change & release manager, you will also be in charge of the SAP technology and integrations domains within BAM.
On the basis of a thorough analysis, you will determine the viability and impact of technical changes. You also make changes to the SAP landscape, ensure that new releases, (technical) updates and change requests are adequately implemented. You ensure the correct and stable operation of the SAP environment, such as database and application servers and access with integrations to other SAP and non SAP systems. Together with partners, you also perform preventive maintenance on the various SAP systems and applications. You install, configure and test the SAP systems and applications and ensure that they are used correctly. Finally, you are responsible for the safety and security of SAP company information that is available through the company network, as well as access control on the SAP systems.
You report to the lead of SAP within the ERP Competence Centre. You will also maintain a network of internal and external customers and supplier relations. You are naturally kept up to date with developments in the organisation and in the field. You are constantly moving at the interface of Business and ICT. With your knowledge and personal skills, you will succeed in defining ambitious and realistic projects and bringing them to a successful conclusion. This in close cooperation with all those involved. Your input and approach will be noticeable and visible within different departments!
Wie zoeken wij?
To be able to fulfil this role properly, you speak the language of the business and you are well able to build productive relationships.
You have a 'can-do' mentality, you will find a solution for everything! In addition, as an SAP Technology & Integration consultant you can and dare to make decisions independently, show your initiative and have organizational sensitivity and persuasiveness. Furthermore, you have a completed HBO/WO education in Computer Science, or a similar direction and relevant work experience.
You also have at least five years of experience with the latest technologies such as SAP Solution Manager, BO Lumira, SCI, FIORI, S/4 HANA and system management within large organisations (> 5000 users). In terms of knowledge level, we are looking for candidates with a good to broad knowledge in the field of SAP and in particular within technology and integration. Experience with (S4HANA) FICO, HR,SD, MM, BI, BPC, PI/PO, PPM/CPM is a big advantage. Furthermore, exploring and experimenting with new SAP technologies is a hobby for you.
Our ideal candidate also has a broad vision on current and future developments regarding the latest SAP technologies. You have strong written and oral expression skills in Dutch, also in English as all policy documents are in English. You are result-oriented and have the ambition to be innovative and progressive in a challenging and international environment. Finally, you enjoy working in a rapidly changing international environment where new digital building concepts are developed.
Wat bieden wij?
A challenging and continuously changing environment in an organization where IT is an essential part of the realization of the new business strategy 'Building the present, creating the In addition, we offer excellent employment conditions and plenty of room for further personal growth and development, both within BAM_ICT and within Royal BAM Group.
Professional and motivated employees are the pillars for realizing our strategic objectives. To help employees develop and become proficient in the right direction, BAM Business School is the center for knowledge transfer, knowledge exchange and knowledge creation.
Wie zijn wij?
Royal BAM Group nv is a construction company with ten operating companies, active in Construction and Property, Civil engineering, as well as in Public-private partnerships.
BAM has leading positions in five European home markets: the Netherlands, Belgium, the United Kingdom, Ireland and Germany. Furthermore, the Group delivers projects in Denmark, Luxembourg and Switzerland, while BAM International operates in niche markets worldwide.
Sustainability and innovation are major drivers of BAM's design, construction and facility management solutions. The Group has an aspiration to become the market leader in the use of digital technology to ensure that clients receive the highest possible standards of quality.
BAM has annual revenues of more than €6.5 billion, employs approximately 20,000 people and is listed on Euronext Amsterdam.
Building the present, creating the future. www.bam.com


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text: Job Discussion Forums :: View topic - Only Mexico Related Threads Permitted Here Get TEFL Certified & Start Your Adventure Today! Job Discussion Forums"The Internet's Meeting Place for ESL/EFL Students and Teachers from Around the World!" FAQ Search Memberlist Usergroups Register Profile Log in to check your private messages Log in Only Mexico Related Threads Permitted Here Job Discussion Forums Forum Index -> Mexico (off-topic) View previous topic :: View next topic Author Message Mr. KalgukshiMod TeamJoined: 18 Jan 2003Posts: 6613Location: Need to know basis only. Posted: Mon Jun 13, 2011 2:15 am Post subject: Only Mexico Related Threads Permitted Here Only Mexico related threads will be permitted on the Mexico Off-Topic Forum. Postings not directly related to Mexico will be subject to deletion at the discretion of the Mod Team. Korea focused postings must be posted on the Korea board that requires separate registration. Repetition of such behavior will result in sanctions. Off-Topic does not mean anything and everything is permitted here because such is not the case. Rules are enforced here just like on any other forum on this board and the Mexico Off-Topic Forum will not be an exception. Back to top Display posts from previous: All Posts1 Day7 Days2 Weeks1 Month3 Months6 Months1 Year Oldest FirstNewest First Job Discussion Forums Forum Index -> Mexico (off-topic) All times are GMT Page 1 of 1 Jump to: Select a forum Where to Begin----------------General DiscussionNewbie ForumCurrent Events ForumTechnology ForumOnline Teaching Forum Africa Forums----------------General Africa Forum Asia Forums----------------CambodiaChina (Job-related Posts Only)China (Off-Topic)Hong KongIndiaIndonesiaJapanMalaysiaPhilippinesSingaporeTaiwanThailandGeneral Asia ForumVietnam Caribbean Forums----------------General Caribbean Forum Europe Forums----------------Czech RepublicFranceGermanyGreeceItalyMacedonia and the BalkansPolandRomaniaRussia & C.I.S.SpainTurkeyUkraineUnited KingdomGeneral Europe Forum Latin America Forums----------------ArgentinaBrazilChileColombiaCosta RicaMexicoMexico (off-topic)PeruGeneral Latin America Forum The Middle East Forums----------------BahrainEgyptIsraelKuwaitOmanQatarSaudi ArabiaUnited Arab EmiratesGeneral Middle East Forum North America Forums----------------General North America Forum Oceania----------------Australia/New Zealand You cannot post new topics in this forumYou cannot reply to topics in this forumYou cannot edit your posts in this forumYou cannot delete your posts in this forumYou cannot vote in polls in this forum This page is maintained by the one and only Dave Sperling. Contact Dave's ESL Cafe Copyright © 2018 Dave Sperling. All Rights Reserved. Powered by phpBB © 2001, 2002 phpBB Group Teaching Jobs in China


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I love the Hairpin (didn't visit as much after Nicole and Mallory left), so I'm looking forward to this.
forgot to add this (thanks korben)
This will be Carmichael's third editing role at Gawker Media — she previously worked as the managing editor of Gawker and Deadspin.
Jezebel had about 17 million-plus unique views last month worldwide.


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- The Increasing Cost of U.S. Health Care
- Sorry, You're Not on the List
- Why Is Price a Problem?
- Risky Business: The Case of T-20
- Have I Got a Deal for You!
- The Best Is Not Good Enough
- Drug Pricing Terms
- Other Factors Affecting Price
- Death and Taxes
- Medicare: The Final Frontier
Most people today appreciate the value of antiretroviral therapy, if not its price. This is because the price of expensive anti-HIV medications in the U.S. is largely, and thankfully, invisible. Although uninsured or underinsured people with HIV may have to pay for their drugs out of pocket, the cost of pharmaceuticals for most HIV positive Americans is borne by private insurance or by the government through Medicaid or a state AIDS Drug Assistance Program (ADAP). Copayments collected by the pharmacy -- which can be a significant burden in themselves -- are as close as many people get to the byzantine world of prescription drug pricing.
The happy fact is that thousands of people are alive today because of better medications and generous access that came about during the strong economy of the 1990s. But with Congress feeling less charitable these days, the trouble signs are clear. Increasingly, it seems that if the political will to pay the price of quality health care does not soon find a powerful voice, the combination of shrinking funding and runaway drug costs could put the health of large numbers of people in this country at risk. Already, historic -- and possibly catastrophic -- changes to Medicare and Medicaid are being decided, all driven by the unbearable cost of medications. Yet none of the proposed solutions attack the underlying problem. The implications for those with HIV are considerable, since drugs are generally the biggest contributor to the price of their continued health.
The Increasing Cost of U.S. Health Care
The U.S. is one of the only wealthy nations without universal health care or government limits on the price of prescription drugs, and American health care costs continue to spiral upward, with pharmaceuticals leading the way. Even though most consumers do not bear the cost of their drugs directly, rising prices affect the cost and quality of care for nearly everyone in the U.S. by way of increased insurance premiums, larger copayment amounts, and cuts in publicly-funded programs such as ADAP. As state governments explore ways to control costs, the powerful pharmaceutical industry is fighting to preserve the freedom to set prices without restraint in their largest and most profitable market in the world.
The drug industry has become addicted to revenue growth, which it tries to sustain in every possible way. Continually raising prices has been the central strategy, and U.S. prices have increased at more than double the rate of inflation every year for over ten years. Due to regulation, prices can't grow that fast anywhere else in the world, so the burden disproportionately falls on the U.S., which now accounts for over half of the world's pharmaceutical sales. Increasing the volume of drug sales has been the other main engine for the industry's growth over the past decade, and since the advent of direct to consumer advertising in 1997, more U.S. customers than ever have begun demanding drugs for the ailments they see on television. Another profitable strategy has been to switch consumers from older, cheaper drugs to more expensive ones. Marketing is crucial to get doctors to switch patients to "new and improved" versions of drugs that mainly exist to push profits up a notch. Yet there are limits to how far this can be taken. Expenses for sales can be double what a company spends on scientific research, and increased spending for marketing in turn drives the demand for revenue growth. Lately, growth has been obtained by the consolidation of smaller firms into pharma powerhouses, but while these mergers may result in some cost efficiencies, the effect on the bottom line is short lived -- and the effect on the creative output of the research departments has been disastrous. Growth arising from true innovation by the pharma giants is becoming increasingly rare.
Meanwhile, government entitlement programs dig deeper and cut services to pay for drugs, and private insurance premiums have become all but unaffordable for anyone without coverage through a well-paying, full-time job. In today's economy, with unemployment high and many small businesses unable to meet the burden of escalating premiums, one in four Americans lack health insurance, and their ranks are growing.
Sorry, You're Not on the List
Over the past couple of years state governments have begun to fight runaway drug costs by attacking the problem on two fronts. First, there has been an attempt to limit utilization by requiring doctors to obtain prior authorization for expensive drugs that are not included on a state-approved formulary list. In practice, the hurdle of seeking approval to prescribe certain drugs means that doctors often select a similar, cheaper substitute. Problems arise when patients are told at the pharmacy that their prescription cannot be filled because it is not on the list; many are likely to give up and go untreated. This sort of manipulation -- along with the political red meat issue of cracking down on waste and fraud -- may produce some small savings, but in reality, people with complex chronic diseases risk having their care compromised by these restrictive rules. Certainly any effort to cut utilization of anti-HIV medications would be met with anger and outrage.
On the price front, some states such as Michigan and Maine have been trying to win discounts from pharmaceutical manufacturers in exchange for adding their drugs to the approved Medicaid formulary, thus removing the barrier to prescribing. This is a powerful stick to wield, since drug companies are loath to yield any market share to their competitors. The pharmaceutical industry deplores this tactic and has fought back with courtroom challenges, sophisticated public relations campaigns, and drug giveaways via company-run disease management programs aimed at Medicaid patients. In Florida, the pharmaceutical lobby prevailed on Governor Jeb Bush to water down state formulary restrictions by allowing drug companies to offer case management of "high utilizers" instead of discounts. But the industry recently suffered a setback when the Supreme Court decided to allow a program to go forward in Maine that seeks additional rebates for its Medicaid drug purchases. Companies that don't comply will see their products parked on a prior authorization list.
At the federal level, a proposed drug benefit for Medicare beneficiaries has emerged in Congress that many say will provide a windfall for the pharmaceutical industry by dramatically expanding their markets without challenging the current pricing structure.
Why Is Price a Problem?
High prices can become a problem when a drug is available only as a brand-name product from a single manufacturer, as is the case with antiretrovirals in the U.S. Every approved anti-HIV drug sold in this country is still under patent protection. A patent guarantees the holder an exclusive right to market the protected product without competition for a period of at least 20 years. After the patent protection period has expired, other manufacturers are free to produce a nonbranded, generic version and sell it at a fraction of the price of the branded drug. In the pharmaceutical business, a good example is the case of fluoxetine (Prozac), which sold for $2.50 per pill until its patent ended in 2001 and a generic manufacturer brought its version to market for only $0.25 apiece.
The first anti-HIV drug expected to lose U.S. patent protection is AZT (zidovudine, Retrovir), which could become available generically in the U.S. sometime after 2005. Since most people who use AZT these days take it with 3TC (lamivudine, Epivir) in the form of Combivir, generic AZT is unlikely to have much impact in this country.
Several generic antiretrovirals are now produced in countries such as India and Brazil and these are promising to help to make treatment a possibility for millions of people who could never hope to afford expensive branded medications. One of the ironies of the marketplace is that some generic makers are now producing practical and convenient all-in-one formulations of individual drugs controlled by different patent holders. One such product, Triomune, is a combination of nevirapine, d4T and 3TC. Such drugs may be available for pennies a day in the developing world, but are unavailable in the U.S. A recent announcement by the Clinton Foundation indicates that manufacturing deals have been struck to bring the monthly cost of treatment to under $20 per person per month -- 40 to 80 times less than in the States. Although generics have not directly affected the cost of anti-HIV drugs in the U.S., the dramatic gap in prices, separated only by FedEx and U.S. Customs, is making the industry exceedingly nervous.
Historically, when a generic equivalent enters the market, the profit potential of the original branded drug virtually vanishes. The price of the generic is set at some margin above the cost of materials, manufacturing, and distribution, and the maker of the branded drug must lower its price or give up the market. The prices of generic equivalents can be set so low because their makers typically invest little or nothing in drug discovery, clinical research, and marketing.
Major pharmaceutical manufacturers argue that the significant cost of bringing new drugs to market justifies the high prices they charge. Furthermore, since the window of premium pricing is limited by a product's patent life -- a good portion of which is used up during the approval process -- all of a drug's research and development costs must be recouped within a relatively short period of time. Finally, since drug development is far from a sure thing, successful drugs are called upon to pay for any number of past and future failures.
Critics of exorbitant drug prices point out that the pharmaceutical business, despite its complaints, remains one of the world's most profitable industries, and that development costs are overstated and often subsidized by government. Corporate reports clearly show that R&D expenses typically run at a fraction of what is spent on marketing and reserved for profit. Drug pricing, critics say, is driven by greed and by the monopoly protection allowed by patents. The true cost of high drug prices, they say, is measured in lives lost.
But the generic price advantage may not be a reliable long-term solution to the current drug cost crunch. Consolidations among generic manufacturers are reducing competition, and generic manufacturers -- seeing the gap between their prices and those of branded products as a wasted opportunity -- recently have begun raising the sticker price on their knockoffs, thus further intensifying the squeeze on state and federal drug budgets.
Have I Got a Deal for You!
One of the hardest things to understand about U.S. pharmaceutical pricing is that not everyone pays the same price. And the prices for different payers are often secret. The situation is much like passengers on a jet plane all headed to the same destination: no one knows how much the person in the next seat paid for their ticket. The only official price released by a pharmaceutical company is called the wholesale acquisition cost (WAC), which is the list price that industry middlemen are supposed to pay to the pharmaceutical maker. The wholesaler, in turn, distributes the drug to pharmacies for retail sale.
A more widely quoted price for drugs is the average wholesale price (AWP), which is an average of list prices quoted by wholesalers to pharmacies. But because of an arcane system of discounts, rebates, and charge-backs, almost no one pays the "official" price. The acquisition cost (AC) is the actual amount that a pharmacy pays for its drug inventory. This cost varies depending on the quantity purchased, as well as on the rebates and discounts available to the pharmacist. Large buyers can obtain significant discounts: you can almost be sure that a drugstore chain like Duane Reade is paying less for pharmaceuticals than an independent neighborhood drugstore, although this may not translate into lower prices for consumers. A recent survey of 155 New York City pharmacies found the highest prices at the biggest chain stores, which charged, on average, eight percent more than mom-and-pop stores. Shockingly, the report also found that chain stores in the poorest neighborhoods charged prices well above the citywide average, meaning that those who can least afford high drug prices in New York are paying the most.
After acquiring a drug, the pharmacy then resells it to consumers with or without an additional markup, plus something called a dispensing fee added on. The dispensing fee is a charge for the professional services of the pharmacist, plus an additional percentage of the drug's cost to cover overhead and profit. Each of these steps may be regulated or fixed by prior agreement. For example, some Medicaid programs may limit the dispensing fees charged by retail pharmacists.
A complex system of rebates for government purchasers has been negotiated to help control drug costs for the large entitlement programs. The size of the rebates paid by the manufacturer varies depending on who pays the bill when a prescription is filled. The average manufacturer price (AMP) is a government-calculated average of prices for a drug actually paid by nongovernment purchasers. Although not officially disclosed, the AMP is estimated to run about 20 percent below the AWP. Government programs use the AMP as a baseline to calculate rebates, with the Medicaid rebate statutorily set at 15.1 percent of the AMP.
For programs that distribute drugs directly to their clients, the Public Health Service has established a discount plan that guarantees something called the 340B price, which at minimum matches the Medicaid 15.1 percent price break, although participating programs are free to negotiate better discounts. Such federally approved 340B participants include hemophilia treatment centers, family planning clinics, and ADAPs that run their own distribution systems. Most big ADAPs, however, distribute their drugs through pharmacies and are organized as reimbursement programs. This means that, for each covered drug dispensed, the state reimburses the pharmacy the AWP minus any special negotiated discounts, plus the dispensing fee. The state then collects its negotiated rebate directly from the manufacturer.
The Best Is Not Good Enough
The "best price" is a proprietary federal determination of the lowest price paid by a manufacturer's best customers after rebates and discounts have been applied. Best price is one of the factors used to calculate the rebates owed to state Medicaid programs. Yet certain customers getting some of the best deals are left out of the best price equation.
For example, some government agencies that purchase drugs directly from manufacturers may enjoy extra discounts, which, if included, would bring the average best price down. Another large government purchaser, the Department of Veterans Affairs (VA), negotiates a price that is published as the Federal Supply Schedule (FSS) price. The FSS price is based on what drug makers charge their "most favored" nonfederal customers -- which, again, may not be the lowest price in the marketplace if, for example, Wal-Mart negotiates a special promotional deal on atorvastatin (Lipitor). Both the 340B and the FSS prices are also excluded from the best price calculation.
So what is the price of any particular drug? It depends on who's paying and who's asking, since neither the government nor the manufacturers disclose that information. As an example, take tenofovir (Viread), produced by Gilead Sciences. The published WAC is $360 for a 30-day supply; an online pharmacy advertises it for $435; and a state ADAP program may pay $380. As a point of comparison, Gilead has offered tenofovir to antiretroviral treatment programs in developing countries at $39 per month, roughly the company's cost of manufacturing.
Other Factors Affecting Price
Another aspect of a drug's price is less often discussed: what is it worth to the individual? The advent of the eBay online auction model has rationalized the pricing of all kinds of products and services by offering them to a wide market and letting individual buyers decide what they are willing to pay. But for products that are necessary to preserve human health and life, society has decided that some unregulated markets are unacceptable. Governments and large private health systems such as Kaiser Permanente use their clout as huge purchasers of pharmaceuticals to demand lower prices, and now the states are attempting to control prices with rules legislation, and group bargaining power. Yet there are ways around these pressures. Statutory discounts can be thwarted by raising the base price until the discounted price matches what the company would prefer the customer to pay. Where price increases for existing products are capped, a company may introduce a new formulation of an old drug at a higher price.
Some prices are set where they are because that is how much other, similar products cost. For example, there are probably few similarities between the operating costs of cable and satellite television, yet remarkably both services are priced the same. And why does high-speed Internet access via DSL cost the same as access via cable? Well, providers reason, if that is what people are willing to pay, then why leave money on the table? When protease inhibitors (PIs) first entered the market in December 1995, they established a new benchmark for the price of HIV/AIDS medication, and the industry hasn't looked back since. This seems to be a lesson the generic drug industry is now putting into practice.
Some fear a new niche market may be on the horizon as several so-called salvage drugs, which work against highly drug-resistant HIV, proceed through the drug development pipeline. Some potential candidates might be the protease inhibitors tipranavir or TMC 114. Fuzeon (T-20), while best known as the first entry inhibitor, is also primarily a salvage drug. There have been reports of a market research company testing the waters for creating a new pricing category for salvage drugs, with Fuzeon's $20,000 per year price a benchmark. While pricing a difficult-to-tolerate PI that high may seem preposterous on the face of it, the limits of drug company audacity may be revealed when and if these drugs make it to market.
Price also reflects the value offered by a drug. For hepatitis C virus (HCV), for example, the price of a yearlong course of treatment includes the chance that one's infection may be permanently cured. Currently, the newest and best HCV therapies can run upwards of $35,000 per year. But with HIV, there is no cure, and the need for therapy lasts a lifetime. The cost of anti-HIV therapy in the U.S. currently runs between $10,000 and $18,000 per year.
The price of drugs may also be weighed against the cost of hospitalization and care for untreated HIV, and thereby judged to be a bargain. A new, pricier drug may have fewer side effects and require less medical management than its cheaper predecessors. In the big picture, it is a money saver (though in the short term it is still a drain on state budgets). Some economists have calculated the value of drug therapy in relation to lost productivity due to early death from AIDS. Few people who lived through the bad old days before PIs would say that the latest antiretrovirals aren't worth the cost.
Death and Taxes
Could we finally be entering an era in which political reality demands more reasonable cost controls? There are powerful forces influencing elected officials today. Health care costs continue to rise, even as demand is forecasted to balloon as the population ages. Yet the political will to pay for equitable health care remains weak; too few voters accept the connection between taxes and the social benefits that government provides. On the other hand, the biggest contributor to rising costs -- the pharmaceutical industry -- is represented by an extensive and pervasive lobby that makes significant contributions to influential members of Congress and the Administration. Beyond these commercial and political interests are conservative hardliners who argue that government has no right to levy taxes to pay for other people's problems. These forces would just as soon see Medicaid and Medicare crash and burn; many view the Bush tax cuts as a shortcut to dismantling all entitlement programs. In the ongoing struggle between those who wish to downsize government spending, the taxpayers, and the growing number of people in need of affordable health care, it increasingly looks as if something has to give.
Medicare: The Final Frontier
The major battlefield is turning out to be the question of whether Medicare, the medical insurance program for seniors and people with severe disabilities, will be able to offer a prescription drug plan that doesn't make things worse than they already are. Currently this government program does not cover outpatient prescription medicines. Without substantial extra insurance, people who rely on Medicare pay for their medications out of pocket -- which means that those who can least afford it often pay higher prices than almost anyone else.
The plight of seniors has received high-profile coverage on the nightly news, with footage of old folk boarding buses bound for discount pharmacies in Canada. Internet sites that fill prescriptions at the more affordable Canadian prices have come under attack as some major pharmaceutical companies have refused to sell their products to Canadian pharmacies that ship drugs back to the U.S. It is not clear whether there is a significant benefit to shopping in Canada for individuals with HIV: the listed Canadian pharmacy price for a month's supply of 3TC (lamivudine, Epivir) is $230, compared with Walgreens' U.S. price of $295. But recently, some big purchasers have expressed their intention to get into the reimportation act. The governor of Illinois and the mayor of New York have each begun demanding the right to acquire more affordable drugs from Canada and Europe and the principle has gained a surprising amount of support in the House of Representatives.
Faced with change, the industry initially tried to block a Medicare drug benefit, because they feared the leverage the government would gain if it were able to negotiate prices for seniors, the largest sector of drug consumers. As this paragraph from Pfizer's 2002 annual report cautions investors:
"In the U.S., many pharmaceutical products are subject to increasing pricing pressures, which could be significantly impacted by the outcome of the current national debate over Medicare reform. If the Medicare program provided outpatient pharmaceutical coverage for its beneficiaries, the federal government, through its enormous purchasing power under the program, could demand discounts from pharmaceutical companies that may implicitly create price controls on prescription drugs."
Yet the next line in Pfizer's report recognizes that change may present opportunity: "On the other hand, a Medicare drug reimbursement provision may increase the volume of pharmaceutical drug purchases, offsetting at least in part these potential price discounts." The plan that has emerged is beyond Pfizer's wildest dreams.
Congress is now proposing a Medicare revision that, while it may offer coverage to some of those hardest hit with the burden of drug costs, does so with the condition that Medicare won't use its new buying power to negotiate better prices. The impending deal throws a lifeline to an industry addicted to growth by dramatically expanding the size of the U.S. pharmaceutical market without touching the profit potential, in effect giving the drug companies a huge windfall paid for by taxpayers, the grandchildren of taxpayers and by seniors forced to go along with a stingy plan full of hidden, painful cost-sharing provisions.
For thousands of people with HIV, the details of this plan are especially frightening. It's currently estimated that around 50,000 people with HIV are beneficiaries of both Medicare and Medicaid. For these people, Medicaid provides a safety net to deliver essential drugs that Medicare does not. Under the new proposal, people on Medicare would be forbidden to draw on Medicaid benefits for uncovered drug costs, in effect forcing low income Medicare beneficiaries into the already reeling ADAP system or onto the streets. The full implications of these proposed changes still have not been realized.
As the reimportation cause moves to the mainstream and as drug costs become a bigger part of everyone's budget, price controls may no longer seem like a radical idea. House Speaker Dennis Hastert recently awoke to the realization that unfettered drug prices in the U.S. are in effect subsidizing price controls in Europe. Is this the birth of a new red meat issue based on outrage that France is getting a free ride at U.S. taxpayer expense? But Hastert, a foe of reimportation, is more concerned about raising prices elsewhere than capping prices here at home, and he has asked U.S. Trade Representative Robert Zoellick to look into the issue.
Virtually everyone agrees that mounting drug costs are causing distress, but no one has been able to forge a political accommodation that would assure access to needed medications for all, while continuing to support research into newer and better drugs for those who will need them tomorrow. Meanwhile, budgets continue to strain as more and more people come to depend on life-giving pharmaceuticals whose prices rise with no end in sight.
A version of this article originally appeared in BETA.
Back to the GMHC Treatment Issues November 2003 contents page.


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St Joseph's College, Hunters Hill
Learning to breathe explores the melancholy and anxiety in the human condition. The paint, loosely applied to the surface, slides and saturates the canvas, representing the dissolving of the soul. The outline of the figures on each canvas strains the foreground, alluding to the physicality of the body engaged in the past.
The technique and composition of artist Cherry Hood has been a major influence on my perception of the amalgam of personal experience, subject matter and technique.
Examine the minimal, loose and dissolving painting technique, adopted by Cy Twombly and Joseph Au. Discuss how this approach draws the viewer's attention to the art-making process. Discuss the sense of time, its movement and passing within both artworks. How is this conveyed? Investigate and compare the influence of other artists' work on both Twombly and Au. How does appropriation enhance the final work and further inform the concept of time? With this in mind, is there really such a thing as an original artwork? Discuss.


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Microsoft will end "mainstream support" of XP on April 14, 2009, meaning that there will be no more free per-incident support for that operating system.
XP users will still be able to get security patches automatically through Windows Update. In addition, it doesn't cost to call Microsoft if you have a problem installing Windows XP. However, calling Microsoft about other support incidents will cost the user money.
Microsoft already delivered its last service pack for XP, which is Service Pack 3.
The venerable XP operating system, first released in October of 2001, will enter the "extended support" lifecycle stage on Tuesday. Extended support for XP will last five years, until April 8, 2014. During that time, Microsoft will charge for per-incident support. The company will also charge its Premier Support customers for any nonsecurity requested hotfixes.
XP die-hards need not panic about support slipping away after the 2014 date. If they still want to get support for XP by that time, it will be available as part of Microsoft's "custom support" program -- the third and final stage of Microsoft's lifecycle support cycle.
Microsoft announced in February that it would keep the enrollment fee price for its custom support flat in 2009, meaning that it stays at 2008 prices. The company said it's keeping the price flat as a concession to its customers during the current economic downturn.
The total Microsoft lifecycle support cycle lasts 15 years, with mainstream support, extended support and custom support each lasting five years apiece. More information about Microsoft's lifecycle support policies can be found in this FAQ here.
Those looking to buy a new PC with Windows XP loaded on it can now only get it through exercising Microsoft's downgrade option.
Microsoft extended the availability of the XP downgrade option through May of 2009 for system builders and through July of 2009 for OEMs. However, even those dates to downgrade Vista aren't fixed in stone. Some OEMs, such as HP, expect to have PCs with XP downgrade rights available through 2012.
About the Author
Kurt Mackie is senior news producer for 1105 Media's Converge360 group.
Project Cortex team members Naomi Moneypenny and Dan Holme explain the origins of SharePoint Syntex, how it benefits orgs with content management problems, and addresses security and governance concerns.
The most perilous moments in a spaceflight can happen after the landing.
Your personal data is just as vulnerable to disk failures and ransomware as corporate data. But right now, there are threats that are more difficult to protect against: wildfires and hurricanes.
Microsoft described a couple of developments along SharePoint product lines during a Tuesday Ignite online keynote talk.
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